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UMHS Home/Logo Consult Request Guidelines

for Abnormal LFTs

Abnormal LFTs (hepatitic pattern, AST/ALT >5x upper limit of normal or increased bilirubin)
Suggested Pre-Referral Evaluation and Management Guidelines
1) Test for IgM anti-HAV, HBsAg, IgM anti-HBc, anti-HCV, antinuclear antibody (ANA), smooth muscle antibodies(SMA), SPEP
2) Test for serum protein electrophoresis(SPEP)
3) Test for PT/INR
4) Repeat LFT, PT in 1-2 weeks
Suggested Additional Test/Management Prior to Specialty Visit
1) Refer patient
2) Ask for early appointment if AST/ALT >10x upper limit of normal (ULN), bilirubin >2, or INR >1.2
Patient Education/Information (includes preps)
1) American Association for the Study of Liver Diseases
2) Centers for Disease Control and Prevention
3) National Institutes of Health
4) American Liver Foundation
5) Liver Function Panel
Appointment Timeframe 1-2 weeks, call M-LINE and ask to speak to one of the hepatology faculty if urgent appointment is needed
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Hand carry non-UM records, MRI/CT films and biopsy slides to visit unless records sent at least 1 week before clinic visit
Outpatient Consult Request form
Clinic Contact Information Physicians: 800-962-3555 or 844-233-0433
Patients: 844-233-0433
Clinic Location Sites Hepatology Clinic Locations
UM Consulting Physician Hepatology Faculty
Lisa Sylvest, RN -- UMHS Patient Liaison will answer provider questions.
Revised on: 04/15/2015